3003 W CASINO RD MISC SITE WORK 1991-93 2016-01-01 MF Import

. • EVALUATION F00. TO BE COMPLETED Bl' APPLICAVT - AGENCY USE ONLY ' J, Wulr a. Surface: � I) Is there any surface water body on or in the im nds8wetlandsj'!��th�sa�c'c�icudiYn�g . year-round and seasonal stresms, saltwater, lakes, po Y and provide names. If appropriate, state what stream or river it Ilows into. Yes. Detention pond outlet to Powder Mill Gulch. Planned engineered wetlands to be l�cated �ust south of proposed fence. ?) Will the project require eny work over, in, or adjacent to (within 200 feeq the dacribed � waters° I! yes, please dacribe and attach available plans. I Yes. Fence installation. �) Esiimate the amount of fill and dredge material that would be placed in ar removed from sur(ace water or wetlands and indicate the area o( the site that would be affected. In- dicace the source of fill materiaL ` None 4) Will the proposal require surface water withdrawals or divenions? Give general de- scription, purpose, and approaimate quantitia if knawn. No 5) D«s the proposal Iie within a 100-year (loodplain? If so, note location on the site plan. No 6) Does the proposal involve any discharga of waste materials to surface waten? If ao, describe the type of waste and anticipa[ed volume of discharge. No b. Graund: I) Will ground water be withdrawn, or will water lx discharged to ground water'! Give general dacription, purpose, and approaima�e quantities if known. No 2) Describe waste material that will be discharged inta the ground from uptic tanks or other sourca, if any (for eaample: Domatic sewage: industrial, containing the following chemicals . . .• agricultural; etc.). Dacribe the general siu o( the syatem, the number of such systems, the number af housa to be sa*�ad (if oPP�icable),or the numlxr of onimtls or humans the system(s) are expected to urve. None